1978
DOI: 10.1055/s-0028-1096634 View full text |Buy / Rent full text
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Abstract: 45 pulmonary embolectomies have been carried out successfully, 10 by Trendelenburg's procedure, 35 with extracorporeal circulation. The latter method gives satisfactory results (34 survivals out of 36 attempts since 1970) and appears to be the procedure of choice. Any pulmonary trauma should be avoided at operation; embolectomy is done by intra-vascular suction. The hemodynamic status was always abnormal: 5 initial cardiac arrests, 20 cases of severe shock (9 demonstrating cardiac arrest on the operating table… Show more

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“…Streptokinase treatment in irreversibly shocked patients has shown discouraging results (15, 21, 22), and there is widespread agreement that embolectomy is life-saving in a substantial number of these cases (12, [23][24][25], as expressed by a hospital survival of 57 % in our report (9). Patients with irreversible cardiocirculatory shock before embolectomy and/or patients with complete right bundle branch block in the acute ECG in all cases had subnormal lung function at follow-up.…”
Section: Follow-up Variables In Relation To Degree Of Cardiocirculamentioning
“…The operation can be perfonned without pre ssure of time. Without cross-clamping the aorta, the pulmonary artery is opened and the emboli are extracted by suc tion and forcep s. The questio n whether rnanipulat ion of the lungs to expre ss peripheral emboli is useful or may lead to additional damage remains undecided (5) . In practi ce the maneuver is performed only if major emboli cannot be removed.…”
Section: Operative Techniquementioning